Organization Active NPI

Fish Family and Associates, LLC

  • Clinical Social Worker
  • Orange City, FL
National Provider Identifier
1689969792
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9428 Issued in FL
Legal business name
FISH FAMILY AND ASSOCIATES, LLC
Practice address
1642 N Volusia Ave
Suite 203
Orange City, FL 32763-3842
Phone
(386) 456-0008
NPI assigned
Jun 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Loren H. Fish II, LCSWNPI 1265669493
Title
Partner
Phone
(386) 456-0008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X SW9428 FL Primary

Addresses

Primary practice location

1642 N Volusia Ave
Suite 203
Orange City, FL 32763-3842

Mailing address

1642 N Volusia Ave
Suite 203
Orange City, FL 32763-3842
Phone (386) 456-0008

National Provider Directory

National Provider Directory

Locations

1642 N Volusia Ave
Ste 203
Orange City, FL 32763
Phone (386) 456-0008

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1689969792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 N VOLUSIA AVE",
            "address_2": "SUITE 203",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327633842",
            "telephone_number": "386-456-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 N VOLUSIA AVE",
            "address_2": "SUITE 203",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327633842",
            "telephone_number": "386-456-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISH FAMILY AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "386-456-0008",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.